SWISS CTO & CHIP SUMMIT 2024 - Faculty - September 5th & 6th - Basel

Family name*

First name*

E-mail address*

Cell phone number*

Accommodation

Night of September 4th (4th to 5th, day before the congress)
Night of September 5th (5th to 6th)
I don't need accommodation

Single room, breakfast included. The organizing committee covers a maximum of 2 nights. The extra and added night will be charged to you. If you need a double room, please keep us informed in the part below.

Special accommodation requests

Transport

Yes, I would like you to make my travel arrangements
No, I will make my own travel arrangements

Departure City*

Departure date*

Departure time*

Morning
Afternoon
Evening

Return city (if it is not departure city)

Return date*

Return time*

Morning
Afternoon
Evening

Membership card type and number (airline, railroad company...)

Preffered Airline company

Download your passport or ID Card*

Taille max. des fichiers : 128 MB.

Essential to book your travel. Thanks.

Thank you for sending your receipts and your bank details after the congress to :
Com&Co Events
Lucille Sarafian
15 Bd Grawitz - 13016 Marseille
Or by email to : summit-swissctochip@comnco.com
We will proceed to your refund by bank transfer within 4 weeks, on a 200€ basis for Switzerland, 500€ for EMEA and on demand for the rest of the world depending of your departure city. If you use your personal vehicle, the allowances of refund will be calculated on a standard kilometers referral.

Special travel requests

Social Program

FACULTY DINNER : Thursday, September 5th*

Yes, I take part to the faculty dinner
No, I do not take part to the faculty dinner

Personnal Data Policy

GDPR*

I certify that I am a healthcare professional.

GDPR*

By clicking on 'Send', I confirm that I have read and understood our Privacy Policy and consent to the processing of my personal data by COM&CO EVENTS, in accordance with the said Policy, in order to best respond to my registration request.

I authorize that my personal data be transmitted to the industrial partners participating in the event, for exclusively professional purposes.

Comments

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